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2010 2011 BBP TRAINING UPDATE

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2010 2011 BBP TRAINING UPDATE Powered By Docstoc
					WELCOME
  2010 - 2011
OSHA UPDATE


BLOODBORNE
 PATHOGENS
Nancy Allen, RN, BS, MPH, COHN-S, CCM/R

EMPLOYEE HEALTH NURSE CONSULTANT
        TOPICS
 OSHA
 TERMS
 UPDATES
 HEPATITIS B
 HEPATITIS C
 HIV
 REPORTING AN EXPOSURE
         OBJECTIVES
   To have a basic understanding of blood borne
    pathogens and the role of OSHA

   To understand how to report an exposure

   To understand the role of the school nurse in an
    exposure.
               WHY?
1. IT IS AN OSHA FEDERAL
   REQUIREMENT

2. Through education and understanding,the
   employee will be protected and the risk of
   an exposure can be reduced.
WHAT IS OSHA?
 OCCUPATIONAL SAFETY
         AND
HEALTH ADMINISTRATION
      (Started in 1970)
SCHOOL DISTRICT’S EXPOSURE CONTROL
PLAN (ECP) NEEDS TO BE BASED ON:



      29 CFR 1910.1030
 BLOODBORNE PATHOGENS
         STANDARD
     FEDERAL Register
      December 6, 1991
OSHA STANDARD ADDRESSES:

RULES FOR PROTECTIING HEALTH
  AND SAFETY WORKERS FROM
  OCCUPATIONAL EXPOSURE TO
   BLOOD AND CERTAIN OTHER
   BODY FLUIDS POTENTIALLY
    CONTAINING BLOODBORNE
          PATHOGENS.
BBP TRAINING IS MANDATORY



UPON EMPLOYMENT FOR NEW
  HIRES AND ANNUALLY FOR
      ALL EMPLOYEES.
BBP TRAINING INCLUDES:
   NEW HIRE EDUCATION AND TRAINING
   ANNUAL EDUCATION AND TRAINING
   AVAILABILITY OF PPE (Personal Protective
    Equipment)
   OFFERING OF HEPATITIS B TO AT RISK
    EMPLOYEES
   PROPER REPORTING OF
    NEEDLESTICKAND BLOOD/BODY FLUID
    EXPOSURES
    EXPOSURE CONTROL PLAN
        IS WRITTEN TO:
   MINIMIZE EXPOSURE TO BLOOD OR
    OTHER POTENTIALLY INFECTIOUS
    MATERIALS (OPIM)
   MANAGE EXPOSURES PROPERLY AND
    MEDICALLY
   DESCRIBE ENGINEERING AND WORK
    PRACTICE CONTROLS WHICH REDUCE
    RISK.
SCHOOL NURSES AND MEDICAL
     SAFETY DEVICES




 IMPLEMENTATION OF SAFER
 NEEDLE/SYRINGE DEVICES IN
  SCHOOL DISTRICTS TO KEEP
THE SCHOOL NURSE SAFE FROM
   BLOODBORNE PATHOGENS
 STANDARD PRECAUTIONS

 TREATALL BLOOD AND
 BODY FLUIDS AS IF THEY
 ARE KNOWN TO BE
 INFECTIOUS
      AT-RISK EMPLOYEES

   THOSE EMPLOYEES WHO, BY NATURE
    OF TASK, HAVE THE POTENTIAL TO BE
    EXPOSED TO BLOOD, BODY FLUIDS OR
    OTHER POTENTIALLY INFECTIOUS
    MATERIALS
       PPE – PERSONAL
    PROTECTIVE EQUIPMENT

   GLOVES
   MASKS
   EYE PROTECTION
   FACE SHIELDS
   RESPIRATORS
   GOWNS, APRONS, LAB COAT
WORK PRACTICE CONTROLS


   HAND WASHING
   PROPER USE OF SHARPS CONTAINER – ¾ FULL
   STORAGE AND SHIPPING OF CONTAMINATED
    EQUIPMENT
   NO EATING, DRINKING, SMOKING, HANDLING
    CONTACT LENSES AND APPLYING MAKE-UP
    AT WORK AREAS
ENGINEERING CONTROLS

 RESPIRATOR
 MEDICAL   SAFETY
  DEVICES
 SHARPS CONTAINERS
OPIM – OTHER POTENTIALLY
  INFECTIOUS MATERIAL

 ANY BODY FLUID THAT IS
 GROSSLY CONTAMINATED
   WITH BLOOD OR ANY
     INTERNAL BODY
      CAVITY FLUID
SMALL WASTE GENERATORS

   Each School District is a small waste generator if they
    produce < 50 pounds/month. R.61-105, infectious
    Waste Management Act, Effective June 24, 2005
   Some Districts may have agreement with local Health
    Department
   Transport Sharps containers in a box in car trunk
   Diapers, sanitary napkins, wound dressings in school
    setting are not infectious. Use appropriate PPE
    (OSHA) Regular trash.
         LATEX SENSITIVITY
            IN SCHOOLS

   School nurse should notify School District Staff
    about Latex Allergies.

   Non-latex products – Band – Aids, BP Equipment,
    resuscitative equipment

   Be aware of products with latex – balloons, rubber
    bands, Squishie balls, rubber toys, erasers
       HEPATITIS C VIRUS

RISK FACTORS
   3-4 MILLION CHRONIC CARRIERS IN USA
    (CDC)

   36,000 NEW INFECTIONS ANNUALLY IN US

   50,000-70,000 CASES ESTIMATED IN SOUTH
    CAROLINA
     WHAT IS HEPATITIS B?
   VIRAL INFECTION OF THE LIVER
   SYMPTOMS – NONE/MILD/SEVERE
   CHRONIC CARRIERS (5%) CAN DEVELOP
    CHRONIC LIVER DISEASE AND CAN INFECT
    OTHERS
   95% SPONTANEOUS RESOLUTION
   INCUBATION PERIOD – AVERAGE 60-90 DAYS,
    RANGE 45-180 DAYS.
   HEPATITIS B VACCINE – PROVIDES
    IMMUNITY (3 vaccine series)
     WHAT IS HEPATITIS C?

   VIRAL INFECTION OF THE LIVER
   CAN LEAD TO CIRRHOSIS AND CANCER
   LEADING INDICATOR FOR LIVER
    TRANSPLANT
   FLU-LIKE SYMPTOMS OR NO SYMPTOMS
   INCUBATION PERIOD – AVERAGE 6-7
    WEEKS. RANGE 2-26 WEEKS
   NO VACCINE AVAILABLE
        WHAT IS HIV/AIDS?
HIV=VIRUS THAT CAUSES AIDS
 Human ImmunodeficiencyVirus that Destroys T Cells, which
  are necessary for Healthy Immune System.
 INCUBATION PERIOD: Conversion to HIV positive within
  25 Days to 3 months. Rarely Longer Than 6 months
 Can be HIV POSITIVE but not have developed AIDS
 PEP (Post Exposure Prophylaxis) is available – Initiate as soon
  as possible!! Interval after which there is no benefit for
  humans is undefined.
      AIDS=ACQUIRED
IMMUNODEFICIENCY SYNDROME


   1/2 PEOPLE Who Are HIV positive DEVELOP
    AIDS WITHIN 10 YEARS

   HIV + Certain Chronic Disease/Destroyed
    T Cells=AIDS
    HEPATITIS B, HEPATITIS C
            & HIV

 Life-threatening BBP
 Transmitted through exposure to blood and
  other infectious body fluids
 Anyone with occupational exposure is at risk
 Workers must use PPE and engineering
  controls
 OCCUPATIONAL EXPOSURES:
HCW (HCP) RESPONSIBIBILTIES

 KNOW BASIC BBP (HBV, HCV, HIV)
  ISSUES
 ATTEND ANNUAL BPP TRAINING
 KNOW WHAT IS A BONA FIDE
  EXPOSURE
 REPORT IT!!! PER SCHOOL DISTRICT
  POLICY
 IF YOU DON’T KNOW, ASK!!!
IF YOU THINK YOU HAVE
     BEEN EXPOSED

IMMEDIATELY TAKE CARE
    OF YOURSELF AND
IMMEDIATELY NOTIFY THE
  APPROPRIATE PERSON IN
 YOUR SCHOOL DISTRICT
      DEPENDING ON THE EXPOSURE
    SCHOOL NURSE WILL IMMEDIATELY
       ASSIST THE EXPOSED PERSON

 WASH HANDS
 FLUSH EYES WITH WATER
 REMOVE ANY SOILED CLOTHING
 GET HELP FROM ANOTHER TRAINED
  FIRST RESPONDER
 DO NOT DELAY IN REPORTING
 PAPERWORK WILL BE
     DONE BY THE
DESIGNATED PERSON IN
YOUR SCHOOL DISTRICT.
 THIS MAY VARY FROM
 DISTRICT TO DISTRICT
  EACH SCHOOL DISTRICT IS
RESPONSIBLE FOR DEVELOPING A
 POST EXPOSURE MANAGEMENT
         PROCEDURE

 THE SCHOOL NURSE MAY BE
CONSULTED IN DEVELOPING THIS
      CDC BBP OEM/PEP
           Guidelines: Summary

1.   Provide immediate care to the exposure site. Notify
     supervisor immediately!!!!
2.   Evaluate risk of exposure (type of fluid, type of
     exposure)
3.   Evaluate exposure source for BBP’s
4.   Evaluate the exposed person
5.   Give PEP (HIV, HBV) for exposures posing risk of
     infection transmission
6.   Perform appropriate follow-up testing and provide
     counseling
QUESTIONS???
To complete your update, please click
  link below to take the BBP Test.


       Please see your school nurse regarding the test.

				
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